Lebanon General Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEBANON GENERAL PRACTICE INC

Practice address

228 W Main St Ste B
Lebanon, TN 37087-2681

Phone

(615) 784-4621

Fax

(615) 784-4623

NPI assigned

Mar 21, 2007

Last updated

Mar 18, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Dawn Johnson

Title

Medical Billing

Phone

(615) 784-4621

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas A Kowal, M.D.

  • General Practice Physician
  • Lebanon, TN
  • NPI 1043205008
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1659496040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872681",
            "telephone_number": "615-784-4621",
            "fax_number": "615-784-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872681",
            "telephone_number": "615-784-4621",
            "fax_number": "615-784-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON GENERAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "615-784-4621",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832478",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lebanon Eye Associates (The Eye Center)
• Lebanon Eye Associates PC (The Eye Center)
• Lebanon Eye Associates PC (The Eye Center)
• Lebanon Family Dentistry LLC
• Lebanon Family Pharmacy, PLLC
• Lebanon Health Care Center
• Lebanon Hma Physician Management LLC
• Lebanon Hma Surgery Center Inc (Lebanon Surgical Center)
• Lebanon Hma, LLC (University Medical Center)
• Lebanon Operator LLC (Wilson Manor)

• Family Medicine Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.